The Chain
Precautions
MRSA/VRE
C-diff
Odds and Ends
100
The nurse has changed the wound dressing of a patient with a positive culture for MRSA. The old dressing will be placed in which of the following receptacles? a. Biohazard waste b. Isolation trash bin c. Sharps container d. Regular trash
b
100
The Infectious Disease Nurse is giving an inservice on infection transmission. When discussing contact transmission for a patient on Contact Precautions, the Infectious Disease nurse will give which of the following as an example of direct contact transmission? a. Health care worker's hands, gloved or ungloved, after care and before hand hygiene b. Isolation gowns after providing care c. Blood splash into eye while drawing up blood d. Stethescope after assessing breath sounds
c
100
The organism responsible for MRSA infection is which of the following: a. C-diff b. staph aureous c. methicillin d. E.coli
b
100
Which of the following is not an airborne infectious illness? a. TB b. Chicken Pox c. Influenza d. Smallpox
c
200
Is the following statement True or False? A carrier is a person who provides living conditions to support a microorganism. A. True B. False
False - a carrier has no s/s of the organism, but can pass it on to others
200
The nurse is caring for a patient diagnosed with meningitis and implements which transmission-based precautions for this patient? a. private room or cohort client b. respirator mask c. private room with negative airflow pressure d. gowns and gloves only
a.
200
The nurse has an order for a foley catheter insertion for a patient with MRSA. The nurse has applied the appropriate PPE and is ready to open the catheter kit. The nurse removes ther gloves and performs hand hygiene with an Alcohol-based cleanser. Is this the appropriate hand hygiene method? a. Yes b. No
Yes
200
The nurse is reviewing teh labs of a patient admitted for C-difficile 2 days ago. Which of the following lab values is of most concern to the nurse? a. Na+ 130 b. WBC 18.6 c. Glucose 196 d. BUN 62
a
300
Which of the following are considered portals of entry to a host for a microorganism? Check all that apply a. the nose b. the mouth c. the blood stream d. urethra e. sweat glands f. skin rash
a, b, d, f
300
The nurse is receiving report from the ED on a new patient coming to the unit with a diagnosis of Diarrhea R/O C-difficile. C-Difficile cultures are pending. Into which of the following rooms will the nurse place the patient? a. Private room with a Contact Precautions sign b. Double room with a patient who has C-difficile c. Private room without a Contact Precautions sign d. Any room and inform the staff to use standard precautions until dignosis is confirmed
A
300
The nurse has changed the wound dressing of a patient with a positive wound culture for MRSA. The old dressing has a small amount of yellow drainage. The old dressing will be placed in which of the following receptacles? a. Biohazard waste b. Isolation trash bin c. Sharps container d. Regular trash
a.
400
An IV pole can be a host for microorganisms a. True B. False
False- a host must be an organism that provides living conditions to support a microorganism
400
A nurse is caring for a patient with Tuberculosis. Which of the following interventions must be performed by the nurse for proper care of this patient? Check all that apply a. apply a paper mask b. apply a gown c. apply sterile gloves d. close the door to the patient's room e. use an alcohol-based cleanser for hand hygiene f. limit area of contact to 3-4 feet from the patient g. apply goggles
b, d, e
400
The nurse can expect an order for which of the following medications for a patient with MRSA? a. Gentamycin b. Unasyn c. Flagyl d. Vancomycin
d
500
To break the chain of infection at the transmission level, the nurse would perform which of the following interventions? a. meticulous catheter care b. disposing of used needles in the sharps container c. cover broken skin with a sterile dressing d. administer antibiotics as ordered
b How do you prevent someone who is infected from spreading the disease? catheter care - portal of entry sterile dressing - portal of entry antibiotics - treatment option
500
Place the following nursing actions in the correct sequence for a new client with an infectious disease of the respiratory system: a. Collect a specimen for culture and sensitivity b. Implement droplet or airborne precautions c. Assess lung sounds and resipratory rate d. Teach the client about infection control at home e. Maintain therapeutic antibiotic levels
b, c, a, e, d
500
The nurse is aware that possible side effects of the antibiotic medication most often prescribed for MRSA are which of the following: (Check all that apply) a. rash b. nausea/vomiting c. ototoxicity d. hypertension e. nephrotoxicity f. anaphylaxis g. constipation
a, b, c, e, f
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